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- Title
Factors associated with multibacillary leprosy in a region of northeastern Brazil.
- Authors
Conceição da Silva, Janiel; Alves de Oliveira, Rayanne; Siqueira Santos, Lívia Fernanda; Pascoal, Livia Maia; Stabnow Santos, Floriacy; Pereira de Jesus Costa, Ana Cristina; Costa Maia Dias, Ismália Cassandra; Tavares Palmeira Rolim, Isaura Leticia; Graepp Fontoura, Iolanda; de Araujo Gordon, Ariadne Siqueira; Melo Lobato, Jaisane Santos; Arrais Sampaio Santos, Francisca Aline; Bezerra, Janaína Miranda; Morais Fontoura, Volmar; Vieira Ramos, Antônio Carlos; Hunaldo dos Santos, Leonardo; Santos Neto, Marcelino
- Abstract
Introduction: The analysis of factors associated with multibacillary leprosy is important for the development of strategies to mitigate the disease, which persists as a public health problem in Brazil and the world. The objective of this study was to verify the associations between sociodemographic and clinical-epidemiological variables and multibacillary leprosy in the state of northeastern Brazil. Methodology: This is a cross-sectional, analytical, and retrospective study, with a quantitative approach, carried out in 16 municipalities in the southwest of Maranhão State, northeastern Brazil. All cases of leprosy reported between January 2008 and December 2017 were considered. Sociodemographic and clinical-epidemiological variables were analyzed using descriptive statistics. The identification of the risk factors associated with multibacillary leprosy was conducted using Poisson regression models. The prevalence ratios and respective 95% confidence intervals were estimated using regression coefficients at a 5% significance level. Results: A total of 3,903 leprosy cases were analyzed. Individuals older than 15 years, males, with less than 8 years of education, with level I, II, or "not evaluated" disability, and with type 1 or 2 or both reactional states were more likely to have multibacillary leprosy. Therefore, these characteristics may be considered risk factors. No protective factors were identified. Conclusions: The investigation revealed important associations between risk factors and multibacillary leprosy. The findings can be considered during the creation of strategies to control and combat the disease.
- Subjects
BRAZIL; MARANHAO (Brazil); HANSEN'S disease; POISSON regression; HEALTH information systems; FACTOR analysis
- Publication
Journal of Infection in Developing Countries, 2023, Vol 17, Issue 6, p846
- ISSN
2036-6590
- Publication type
Article
- DOI
10.3855/jidc.17284